Contract Pharmacy Details

RITE AID OF MAINE, INC.
CH010340 Bucksport Regional Health Center

Covered Entity Details

Entity Name

Bucksport Regional Health Center

Subdivision Name

BUCKSPORT REGIONAL HEALTH CENTER

Type

HRSA-Funded Health Center

340B ID

CH010340

Entity Address

110 Broadway
Bucksport, ME 04416

Grant Number

H80CS00591

Participating Start Date

12/1/1992

Last Recertification Date

2/13/2025

Pharmacy Details

Pharmacy Name

RITE AID OF MAINE, INC.

Pharmacy Address

RITE AID #4262
65 WESTERN AVE
HAMPDEN, ME 04444

Pharmacy Comments

Contract Details

Approval Date

1/6/2014

Contract Begin Date

4/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/24/2018
Ownership change

Contacts

Covered Entity Signing Official

Carol Carew, CEO
(207) 469-7371

Contract Pharmacy Representative

Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217

Signed By Date

1/6/2014

340B Drug Pricing Program Database